Information Collection

Annual Reporting Data Elements for RPE

IC 237591 under ICR 202210-0920-001 · OMB 0920-1286.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-1276 Annual Reporting Data Elements for RPE	Form and Instruction
0920-1276 Annual Reporting of the Rape Prevention and Education (R Att_3a_Annual_Reporting_for_RPE_All_Forms_WORD_2023OMB.pdf	Form and Instruction
0920-1276 Annual Reporting of the Rape Prevention and Education (R Att_3a_Annual_Reporting_for_RPE_All_Forms_WORD_2023OMB.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

0920-1286

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-1276	Annual Reporting of the Rape Prevention and Education (RPE) Program: Work Plan Form	Att_3a_Annual_Reporting_for_RPE_All_Forms_WORD_2023OMB.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 53

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	53	-2	55
Annual IC Time Burden (Hours)	212	-8	220
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.